HCD 303 - Module 4 Exam Questions and
Answers Graded A+
What is healthcare financing? - Correct answer-- It is the function of a system
concerned with the mobilization, accumulation, and allocation of money to cover
the health needs of the people, individually and collectively, in the health system
What is one of the key leverage points that exists within healthcare financing that
can be used to improve healthcare delivery? - Correct answer-- To align incentives
between patients and providers
Which country spends the highest percent of their GDP on healthcare? - Correct
answer-- United States
Which of the following is considered to be forms of 'bundled payments'? - Correct
answer-- DRGs
Which payment model reimburses organizations and/or providers based upon the
number of days treatment was given? - Correct answer-- Per Diem
What does the term prospective mean? - Correct answer-It is when the
reimbursement amount for a service or group of services are set in advance
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, Which of the following accurately describe aspects of the U.S. DRG payment
model? Select all that apply. - Correct answer-- A prospective payment model
- Covers costs from admission to discharge
- Follows a patient for 30-days post-discharge
Which of the following are key distinctions between the DRG payment model and
the EDRG payment model? Select all that apply. - Correct answer-- DRG will only
ever follow a patient for 30-days, while EDRG follows a patient for up to 5 years,
- DRG does not include physician services, while EDRG does include physician
services in the bundled price
Which payment model provides the least financial risk for providers and the most
financial risk for payers? - Correct answer-- Fee-for-service
Which payment model provides the least financial risk for payers and the most
financial risk for providers? - Correct answer-- Capitation
What payment model was dubbed pay-for-process by physicians and played a
significant role in what would ultimately become the opioid epidemic? - Correct
answer-- Pay-for-performance
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
Answers Graded A+
What is healthcare financing? - Correct answer-- It is the function of a system
concerned with the mobilization, accumulation, and allocation of money to cover
the health needs of the people, individually and collectively, in the health system
What is one of the key leverage points that exists within healthcare financing that
can be used to improve healthcare delivery? - Correct answer-- To align incentives
between patients and providers
Which country spends the highest percent of their GDP on healthcare? - Correct
answer-- United States
Which of the following is considered to be forms of 'bundled payments'? - Correct
answer-- DRGs
Which payment model reimburses organizations and/or providers based upon the
number of days treatment was given? - Correct answer-- Per Diem
What does the term prospective mean? - Correct answer-It is when the
reimbursement amount for a service or group of services are set in advance
©COPYRIGHT 2025, ALL RIGHTS RESERVED 1
, Which of the following accurately describe aspects of the U.S. DRG payment
model? Select all that apply. - Correct answer-- A prospective payment model
- Covers costs from admission to discharge
- Follows a patient for 30-days post-discharge
Which of the following are key distinctions between the DRG payment model and
the EDRG payment model? Select all that apply. - Correct answer-- DRG will only
ever follow a patient for 30-days, while EDRG follows a patient for up to 5 years,
- DRG does not include physician services, while EDRG does include physician
services in the bundled price
Which payment model provides the least financial risk for providers and the most
financial risk for payers? - Correct answer-- Fee-for-service
Which payment model provides the least financial risk for payers and the most
financial risk for providers? - Correct answer-- Capitation
What payment model was dubbed pay-for-process by physicians and played a
significant role in what would ultimately become the opioid epidemic? - Correct
answer-- Pay-for-performance
©COPYRIGHT 2025, ALL RIGHTS RESERVED 2
